Medicaid Connecticut – Provider Bulletin 2020-63 Clarification
September 4, 2020Effective September 1, 2020, prior authorization is no longer required on procedure codes 81420 and 81507; therefore, any pregnant HUSKY Health member, regardless of pregnancy risk category, is eligible to receive these services as long as the services are deemed medically necessary by their provider. Please refer to the Connecticut Medical Assistance Program’s definition of medical necessity as defined in Conn. Gen. Stat. Section 17b-259b or in PB 11-36 – Definition of Medical Necessity.